161 TREATMENT OF HIP FRACTURES. IS THERE A DIFFERENCE BETWEEN THE IMMEDIATE INTERVENTION AND WAITING?

Abstract

Is to analyze the preliminary results of surgical treatment of hip fractures in regard to the time of the intervention from the admission.

In our department we treated 383 hip fractures, 272 Transtrochanteric and 111 IC-NOF fractures, from August 2006 to August 2008. The patients were split in 2 groups regarding the day of the surgery from the admission. In the group A were included patients with immediate surgical treatment (in the 1st 24 hours) and in group B patients who had there surgery after the 1st 24-hours. We evaluated the difference in Hb between the admission and the 1st post surgical day, the need for transfusion, the duration of hospitalisation and the complications.

The two groups did not differ statistically considering demographic details. Also there were no differences in regard of the change of Hb and the need for blood transfusion. There was statistically significant difference in the duration of hospitalization (A: 6.5-B: 10.3) as well as and in complications. Post surgical OPS 15 in group A and 56 in group B, urine infection 1 in A and 16 in B, respiratory infection 1 in A and 11 in B. The A group had 1 case with cardiac arrest and 1 AMI. Finally the B group had 5 cases with arrhythmia, 1 with PE and 3 with CA. Conclusions: It appears that the immediate surgical intervention of patients with hip fracture has positive effect in the duration of hospitalization, morbidity and mortality